Simultaneous Bilateral Facial Palsy in a Diabetic Patient

Bilateral Facial Nerve Palsy: A Diagnostic Dilemma

“…Sarcoidosis was excluded as there was no hilar adenopathy reported on chest X-ray. Diabetes has been noted to be present in 28.4% of patients with bilateral FNP and can be explained by the fact that diabetic patients are more prone to nerve degeneration [11, 12]. Normal blood sugar levels excluded diabetes as a cause of bilateral FNP in our patient.…”

Simultaneous isolated bilateral facial palsy : A rare vincristine-associated toxicity

“…The most common causes are bilateral Bell's palsy, Lyme disease, Guillain-Barre syndrome, sarcoidosis, Moebious syndrome, leukemia, viral infections, syphilis, basilar skull fractures, and pontine gliomas. [9] In our case, we diagnosed the cranial polyneuropathy as being drug induced -by exclusion of other etiologies, the timing of facial palsy in relation to the therapy schedule, normal cerebrospinal ß uid levels and normal cranial MRI scan.…”

Bilateral facial nerve palsy in a newly diagnosed diabetic patient with associated herpes labialis

“…Patients with diabetes are more prone to nerve degeneration, and this tendency is not age-related. [8,9] The pathogenesis of Bell's palsy is related to the tortuous course of the facial nerve through the fallopian canal. In diabetics, the Schwann cell and myelin sheath of nerves are at higher risk of damage, nerve degeneration is more severe, and the threat of sequelae-like contracture and synkinesis is increased than in nondiabetics.…”